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Erschienen in: The International Journal of Cardiovascular Imaging 3/2018

13.09.2017 | Original Paper

Gated thoracic magnetic resonance angiography at 3T: noncontrast versus blood pool contrast

verfasst von: Chengcheng Zhu, Henrik Haraldsson, Kimberly Kallianos, Liang Ge, Elaine Tseng, Travis Henry, David Saloner, Michael D. Hope

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 3/2018

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Abstract

Both noncontrast and contrast-enhanced approaches to gated thoracic magnetic resonance angiography (MRA) for aortic root evaluation have been reported at 3T. We compare qualitative and quantitative image quality measures for the two approaches, and assess the reproducibility of standard aortic measurements. Respiratory and cardiac gated MRA of the chest was performed at 3T in 45 patients: 23 after administration of iron-based blood pool contrast, and 22 without contrast. Image quality was assessed with a 5-point Likert scale, vessel lumen-to-muscle contrast ratios, and vessel wall sharpness. Two reviewers measured the ascending aorta diameter and valve annulus area. Interrater agreement was assessed using Bland–Altman plots and coefficient of variation (CV). Qualitative image quality was better with blood pool contrast in all principal vessels of the chest (mean Likert of 4.20 ± 0.79 vs. 2.60 ± 0.77, p < 0.001). Quantitative assessment was also improved with higher contrast ratios in all vessels (5.26 ± 3.3 vs. 1.90 ± 0.53, p < 0.001), and greater sharpness of the aortic annulus and ascending aorta (0.70 ± 0.16 vs. 0.56 ± 0.14 mm−1, p < 0.001, and 0.87 ± 0.16 vs. 0.62 ± 0.16 mm−1, p = 0.008, respectively). Reproducibility of measurement was marginally better for the ascending aorta diameter (CV of 2.80 vs. 3.23%), but substantially increased for the aortic valve annulus area with blood pool contrast (CV of 4.93 vs. 7.32%). The use of a blood pool contrast agent for gated thoracic MRA improves image quality compared to a noncontrast technique, and provides more reproducible measurements of the aortic valve annulus area.
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Metadaten
Titel
Gated thoracic magnetic resonance angiography at 3T: noncontrast versus blood pool contrast
verfasst von
Chengcheng Zhu
Henrik Haraldsson
Kimberly Kallianos
Liang Ge
Elaine Tseng
Travis Henry
David Saloner
Michael D. Hope
Publikationsdatum
13.09.2017
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 3/2018
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-017-1242-8

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